2017 vsu golf summer camp
Permission to Participate & Informed Consent – Summer Camp I understand that my child, __________________ will be participating in the Golf summer camp at Virginia State University (“VSU”) on July 17-20, 2017. I acknowledge that I have read the information from VSU regarding the Golf summer camp. I understand that my child will be participating in this summer camp with other students, nonmembers and volunteers from the VSU community. By signing this Consent Form and Release, I declare that I have legal custody and/or guardianship of _________________, a minor, and that I consent to allow _______________ to participate in the Golf summer camp. Activities will include, but not be limited to: skills, basic fundamental drills, lecture and competition. I understand that participation in this activity is strictly voluntary. I have read, understand, and have discussed with my child that: A. Participants are expected to follow instructions of coaches, volunteers and other individuals that are overseeing the camp. B. Participants are expected to fully participate in activities outline by the adults/person in charge of events and activities, unless parent/guardian has made prior arrangements. C. Participants are expected to respect each other, equipment/ materials that are made available to them, and in charge of the event. I have discussed with my child the importance of following directions and safety procedures that will be outlined by the coaches and volunteers in charge of the activity. I understand that my child is not required to participate in this activity, but grant permission for him/her to do so, despite the possible risks. I understand that the personal information collected by VSU will not be disclosed to any third parties for any purpose. I recognize that by participating in this activity my child may risk personal injury. I hereby attest and verify that I have been advised of the potential risks, that I am fully knowledgeable of the risks involved in this activity, and that I assume any expenses that may be incurred in the event of accident, illness, or other incapacity, regardless of whether I have authorized such expenses. Signed:___________________________Date:__________ (Parent/Guardian) Signed: ___________________________ Date:__________ (Participant)
Cancellation and Refund No refunds will be given to campers who leave voluntarily or to those who are sent home for disciplinary reasons at the discretions of the camp directors. Age: 10-17 (not open to high school graduates) Camp Cost: $225 Per Camper (lunch,workbook and t-shirt included) Camp Hours & Location July 17-20, 2017 10:00 a.m.-4:00 p.m. Dogwood Trace Golf Couse Petersburg, VA 23805 Camp registration will be held on Monday July 17, 2017 at 9am at the Dogwood Trace Golf Course Clubhouse. What to Bring Campers should bring golf clubs IF they have them. Campers are also asked to bring a snack and their choice of drink. Contact Information Phone: (804) 524–5028 Fax: (804) 524–5763 E-Mail: [email protected] Payment Submit Checks or Money Orders to: VSU Athletics: 2017 Golf Summer Camp P.O. Box 9058 Petersburg, Virginia 23806 or Call 804-524-5656 to pay by phone (Please submit application and payment together)
2017 VSU GOLF SUMMER CAMP July 17-20, 2017 Age: 10-17
CAMP OUTLINE The camp will focus on providing the youth with useful golf instructions by using various types of dimenstrations, drills and lectures. Areas of focus: Golf Overview Fundamentals Putting Green Short Game
CAMP GOAL
2017 VSU Golf Summer Camp Application Please return this competed form along with a check or money order made payable to “VSU Golf Summer Camp” Camper’s Name: ________________________ Team Name: ____________________________ School:________________________________ Grade Entering Fall:_______ Age:__________ Primary Parent or Guardian Name: ______________________________________ Address:_______________________________ City/State/Zip:__________________________ Parent’s E-Mail Address:__________________ Parent’s Contact Number:__________________ In case of an emergency, if parent/ guardian cannot be reached please list contact person that can act on your behalf.
The Virginia State University golf summer camp goal is to provide young golfers with the tools to enjoy this great game for a lifetime. Our curriculum is the perfect blend of expert instruction, course play and fun! With an outstanding coaching staff, led by William Perkins, each camper can leave at the end of the week feeling more confident about the game of golf.
Emergency Contact:______________________ Relationship:____________________________ (H)__________(C)___________(W)_________ Please list any medical condition or medication that camp staff should be aware of:___________ ________________________________________ ________________________________________
Cancellation and Refund No refunds will be given to campers who leave voluntarily or to those who are sent home for disciplinary reasons at the discretions of the camp directors. Age: 10-17 (not open to high school graduates) Camp Cost: $225 Per Camper (lunch,workbook and t-shirt included) Camp Hours & Location July 17-20, 2017 10:00 a.m.-4:00 p.m. Dogwood Trace Golf Couse Petersburg, VA 23805 Camp registration will be held on Monday July 17, 2017 at 9am at the Dogwood Trace Golf Course Clubhouse. What to Bring Campers should bring golf clubs IF they have them. Campers are also asked to bring a snack and their choice of drink. Contact Information Phone: (804) 524–5028 Fax: (804) 524–5763 E-Mail: [email protected] Payment Submit Checks or Money Orders to: VSU Athletics: 2017 Golf Summer Camp P.O. Box 9058 Petersburg, Virginia 23806 or Call 804-524-5656 to pay by phone (Please submit application and payment together)
2017 VSU GOLF SUMMER CAMP July 17-20, 2017 Age: 10-17
CAMP OUTLINE The camp will focus on providing the youth with useful golf instructions by using various types of dimenstrations, drills and lectures. Areas of focus: Golf Overview Fundamentals Putting Green Short Game
CAMP GOAL
2017 VSU Golf Summer Camp Application Please return this competed form along with a check or money order made payable to “VSU Golf Summer Camp” Camper’s Name: ________________________ Team Name: ____________________________ School:________________________________ Grade Entering Fall:_______ Age:__________ Primary Parent or Guardian Name: ______________________________________ Address:_______________________________ City/State/Zip:__________________________ Parent’s E-Mail Address:__________________ Parent’s Contact Number:__________________ In case of an emergency, if parent/ guardian cannot be reached please list contact person that can act on your behalf.
The Virginia State University golf summer camp goal is to provide young golfers with the tools to enjoy this great game for a lifetime. Our curriculum is the perfect blend of expert instruction, course play and fun! With an outstanding coaching staff, led by William Perkins, each camper can leave at the end of the week feeling more confident about the game of golf.
Emergency Contact:______________________ Relationship:____________________________ (H)__________(C)___________(W)_________ Please list any medical condition or medication that camp staff should be aware of:___________ ________________________________________ ________________________________________
